Individual provider Active NPI

Kelly Lynn Holman, FNP-C

  • Family Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1942552278
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP122309 Issued in TX
Practice address
506 E San Antonio St
Victoria, TX 77901-6060
Phone
(361) 579-6500
Fax
(361) 788-6655
NPI assigned
Oct 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP122309 TX Primary

Addresses

Primary practice location

506 E San Antonio St
Victoria, TX 77901-6060

Mailing address

506 E San Antonio St
Victoria, TX 77901-6060
Phone (361) 579-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131105000381 TX Practitioner - Nurse Practitioner 5496980138 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
756094TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Hospitalist Associates, LLC CurrentSince Aug 1, 2013 Accepting new patients
Victoria Kidney & Dialysis Associates CurrentSince Mar 1, 2016 Accepting new patients
Kalpesh P Bhesaniya MD PA CurrentSince Feb 1, 2021 Accepting new patients
Citizens Medical Center County of Victoria PastSince Mar 1, 2016 Accepting new patients

Locations

605 E San Antonio St
Ste 430E
Victoria, TX 77901
Phone (361) 576-0011

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

101 James Coleman Dr
Victoria, TX 77904
Phone (346) 541-6421

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

506 E San Antonio St
Fl 3
Victoria, TX 77901
Phone (361) 575-1445

2791 Hospital Dr FL 6
Victoria, TX 77901

102 Medical Dr
Victoria, TX 77904
Phone (361) 576-6200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1942552278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E SAN ANTONIO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016060",
            "telephone_number": "361-579-6500",
            "fax_number": "361-788-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E SAN ANTONIO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016060",
            "telephone_number": "361-579-6500",
            "fax_number": "361-788-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP122309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.